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As one of the leading pioneers of the cooling treatment in the nation, the Minneapolis Heart Institute® at Abbott Northwestern Hospital established a “Cool It” protocol in 2006 to immediately initiate the treatment for a patient who meets the medical criteria. The “Cool It” program is a facilitated collaboration among cardiology, emergency medicine, intensive care physicians, emergency medical services, critical care nurses and pharmacists at Abbott Northwestern Hospital.

This conference is devoted to the fundamentals of establishing and further developing a program to treat comatose patients following cardiac arrest. Case presentations and lectures will be made by physicians from the Minneapolis Heart Institute® at Abbott Northwestern Hospital and other national experts.

Target Audience

Cardiologists, interventionalists, critical care physicians, emergency physicians, EMS directors and physicians, and appropriate department nursing and administration staff.

Objectives

1. Describe the current state of resuscitation, treatment and outcomes from the national prospective.
2. Develop a protocol to initiate and maintain mild therapeutic hypothermia for the patient that remains comatose following a cardiac arrest.
3. List patient selection inclusion/exclusion criteria for therapeutic hypothermia therapy.
4. Describe the simultaneous application of treatments for a patient with STEMI who has also suffered a cardiac arrest without regaining consciousness.
5. Explain the hemodynamic changes that occur during hypothermia and treatment.
6.  Evaluate the frequency of cardiogenic shock and the treatment during therapeutic hypothermia.
7.  Identify cardiac arrhythmias that occur during hypothermia and treatment protocols for those arrhythmias.
8. Collect data to measure clinical outcomes including mortality, morbidity and neurological recovery and respond with process improvements to improve outcomes.

Thursday Evening Breakout Sessions

Target Audience

All are welcome. The Thursday evening breakouts will be interactive, “ask the expert” discussions. These sessions are intended to focus more narrowly on topics of interest to the following two groups:

Breakout 1:       EMS medical directors, EMS providers, Emergency Department physicians and nurses.

Breakout 2:       Intensivists, hospitalists, cardiologists and ICU nurses.

Objectives

Breakout 1 for EMS and ED:

1.     Review the steps to be followed for field resuscitation for patients who may be TH candidates.

2.     List the basic steps for ED codes for patients who may be candidates for TH.

3.     Outline the collaboration between the ED, ICU and Cardiology needed to treat cardiac arrests.

4.     Describe strategies to engage the community as the first line of defense for cardiac emergencies.

Breakout 2 for ICU:

1.     Review the anticipated impact of therapeutic hypothermia on cardiac output measurements.

2.     Describe the intravenous fluid infusion process for lowering body temperature.

3.     Discuss use of short-acting sedation and paralytics for therapeutic hypothermia.

4.     Summarize the induction, maintenance and rewarming phases of therapeutic hypothermia.

Accreditation

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Allina Hospitals & Clinics and Minneapolis Heart Institute Foundation. Allina Hospitals & Clinics is accredited by the ACCME to provide continuing medical education for physicians.

The Center for Learning & Innovation, Office of Accreditation at Allina Hospitals & Clinics designates this educational activity for a maximum of 7.5 AMA PRA Category 1 Credits^TM for the Friday conference and 2.5 AMA PRA Category 1 Credits^TM for the Thursday evening breakouts. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Continuing medical education credits are accepted by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC) for certification renewal, if the content is applicable to the area of certification. Continuing education hours approved by the ACCME meet the ANCC-accredited continuing nursing education (CNE) criteria.

Individuals representing other professional disciplines may submit summit materials to their respective professional associations for 7.5 hours of continuing education credit for the Friday conference and 2.5 hours for the Thursday evening breakouts.

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